Patient Success Advocate

JOIN A LEADING HEALTHCARE COMPANY

The Patient Success Advocate (PSA) coordinates and monitors patients enrolled in the Patient Success Program, ensuring seamless access to therapies and adherence to treatment plans. This role manages benefit investigations, pharmacy coverage, prior authorizations, and patient financial assistance. The PSA collaborates with internal and external teams to improve the patient experience and monitor program quality.

Duties and Responsibilities:

• Manage patient referrals and statuses to support program goals and ensure patient success.
• Execute patient success programs to improve patient access and adherence to therapies.
• Follow business rules to determine how patients should be dispensed (QuickStart, Bridge, PAP, Paid, etc.) and communicate with the dispensing team.
• Conduct patient status reviews with internal leadership and participate in client meetings as needed.
• Track and report adherence to program directives to external partners.
• Provide recommendations for improving processes, systems, and reporting.
• Resolve complex program-related issues through collaboration with internal teams.
• Ensure timely and accurate documentation in MedPlan.
• Monitor contract accuracy for reimbursement rates.
• Maintain effective communication across operational departments.
• Support patient financial assistance programs and ensure compliance with guidelines.
• Identify process improvements to enhance operational efficiency.
• Foster a collaborative and respectful work environment through effective communication.
• Ensure compliance with all applicable accreditation standards, including URAC, ACHC, and NABP guidelines.
• Perform other duties as assigned.

Qualifications:

Education:

• High school diploma or equivalent required.

Experience:

• Minimum of two (2) years of experience in a specialty or rare pharmacy environment preferred.

Skills and Competencies:

• Strong communication and presentation skills.
• Detail-oriented with strong organizational and multitasking abilities.
• Proficient in Microsoft Word, Excel, and PowerPoint.
• Familiarity with specialty and rare pharmacy practices and procedures.
• Ability to work independently and collaboratively in a fast-paced environment.